Elissa Forman, LICSW

  • Florence, MA
  • Clinical social worker
NPI1578532438PAC ID6406756071
Medicare patients, 2024
26
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2006
Practice address
70 Main St, Florence, MA 01062-1466
Practice phone
Call (413) 585-5472
Professional email
Get professional email
Personal email
Get personal email
Mobile number
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Social profiles

Primary practice

Valley Medical Group, P.c.

Multi-specialty group site · Florence, Massachusetts

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Elissa Forman is a clinical social worker in Florence, Massachusetts

Elissa Forman practices at Valley Medical Group, P.c. in Florence, Massachusetts.

Elissa Forman's NPI, 1578532438, was assigned on March 14, 2006. Elissa Forman holds Massachusetts license 1031672.

NPI and contact details
Medicare PAC ID
6406756071
NPI enumeration date
March 14, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(413) 585-5472
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Female
Estimated age
56
Medical school graduation
1996

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Elissa Forman practices at Valley Medical Group, P.c. in Florence, Massachusetts

Elissa Forman's primary practice is Valley Medical Group, P.c., at 70 Main St, Florence, MA 01062-1466. The practice phone is (413) 585-5472.

  • Valley Medical Group, P.c.
    70 Main St, Florence, MA 01062-1466Phone(413) 585-5472

Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Elissa Forman is affiliated with 1 site of care and 1 medical group

Elissa Forman's primary practice is Valley Medical Group, P.c. in Florence, Massachusetts. The medical group on file is Valley Medical Group.

Valley Medical Group, P.c.Multi-specialty group site · Florence, MassachusettsPrimary
Valley Medical GroupPrimary care group, Greenfield, MA

Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dmand AI tracks the EHR system at Elissa Forman's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Elissa Forman practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Valley Medical Group, P.c.Available with a free account

Source: Dmand AI Technology Install Data

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Elissa Forman is one of 4,501 clinical social workers in Massachusetts

Social worker is Elissa Forman's primary specialty in the NPI Registry, under taxonomy code 1041C0700X. The record also lists clinical. Elissa Forman is licensed in Massachusetts.

Specialties and state licenses

  • Clinical social worker, MassachusettsPrimaryLicense 1031672 · taxonomy 1041C0700X

Clinical social workers near Elissa Forman

Counts of clinical social workers with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Elissa Forman treated 26 Medicare patients in 2024, average age 66

CMS counts 26 Medicare patients who saw Elissa Forman in 2024. 75% of them have anxiety, and 73% have mood disorders. 50% are also on Medicaid. Their average risk score is 1.13, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Elissa Forman's median patient age at 29, with 50% women.

Medicare patients, 202426
Average age66
Average risk score1.13
Also on Medicaid50%

Chronic conditions among Elissa Forman's Medicare patients, 2024

  1. Anxiety75%
  2. Mood disorders73%
  3. High cholesterol65%
  4. Depression58%
  5. High blood pressure58%

Share of Medicare patients with each condition. A patient can have several.

Elissa Forman's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 29

Patient panel by sex, all payers

  • Women50%
  • Men50%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Elissa Forman offers telehealth to Medicare patients

Elissa Forman accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Elissa Forman as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

Sources for Elissa Forman's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Primary practice, affiliations and health systemDmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Elissa Forman

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Elissa Forman's NPI number?

Elissa Forman's NPI number is 1578532438. It was assigned on March 14, 2006, and it is active in the NPI Registry.

What does Elissa Forman specialize in?

Elissa Forman is a clinical social worker in Florence, Massachusetts. The primary specialty in the NPI Registry is Clinical Social Worker (taxonomy code 1041C0700X).

Where does Elissa Forman practice?

Elissa Forman practices at 70 Main St, Florence, MA 01062-1466. Elissa Forman's primary practice is Valley Medical Group, P.c. in Florence, Massachusetts.

What is Elissa Forman's office phone number?

The practice phone on file for Elissa Forman is (413) 585-5472.

What is Elissa Forman's medical license number?

Elissa Forman holds Massachusetts license 1031672.

What medical group is Elissa Forman part of?

Elissa Forman is linked to Valley Medical Group.

Does Elissa Forman accept Medicare?

Yes. CMS lists Elissa Forman as accepting Medicare assignment.

Does Elissa Forman offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Elissa Forman as offering telehealth services.

How many Medicare patients does Elissa Forman see?

CMS counts 26 Medicare patients who saw Elissa Forman in 2024, with an average age of 66.

How long has Elissa Forman been practicing?

Elissa Forman graduated from medical school in 1996, 30 years ago.

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